Itemized · Procedures · Ureteroscopy with lithotripsy (kidney stone) · with Medicaid / Medi-Cal

Ureteroscopy with lithotripsy (kidney stone) with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for ureteroscopy with lithotripsy (kidney stone) at 38 US hospitals. Range: $60 to $13,792. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Medicaid / Medi-Cal rate.

#	Hospital	Medicaid / Medi-Cal rate
1	UC San Diego Health San Diego, CA	$60 – $514
2	Henry Ford Hospital Detroit, MI	$212 – $2,943
3	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$212 – $2,943
4	Bellevue Hospital Center New York, NY	$214 – $427
5	Kings County Hospital Center Brooklyn, NY	$219 – $438
6	Seattle Children's Hospital Seattle, WA	$222
7	Montefiore Medical Center Bronx, NY	$222 – $6,693
8	UT Southwestern Medical Center Dallas, TX	$306 – $1,858
9	Jefferson Abington Hospital Philadelphia, PA	$313 – $1,584
10	Children's Medical Center Dallas Dallas, TX	$336 – $2,265
11	Cleveland Clinic Cleveland, OH	$339 – $393
12	Jacobi Medical Center Bronx, NY	$350
13	MLK Community Hospital Los Angeles, CA	$354 – $8,069
14	St. Mary Medical Center Long Beach, CA	$354 – $2,235
15	Whittier Hospital Medical Center Whittier, CA	$354 – $6,207
16	Coast Plaza Hospital Norwalk, CA	$362
17	California Hospital Medical Center Los Angeles, CA	$402 – $7,196
18	St. Joseph's Hospital and Medical Center Phoenix, AZ	$405 – $5,418
19	Northridge Hospital Medical Center Northridge, CA	$407 – $2,235
20	Glendale Memorial Hospital Glendale, CA	$443 – $2,235
21	Vanderbilt University Medical Center Nashville, TN	$477 – $3,852
22	Allegheny General Hospital Pittsburgh, PA	$523 – $1,280
23	Jefferson Regional Medical Center Jefferson Hills, PA	$523 – $1,280
24	Sharp Grossmont Hospital La Mesa, CA	$732 – $1,848
25	UPMC Presbyterian Shadyside Pittsburgh, PA	$931
26	Scripps Memorial Hospital La Jolla La Jolla, CA	$1,421
27	Scripps Mercy Hospital San Diego San Diego, CA	$1,421
28	Piedmont Atlanta Hospital Atlanta, GA	$1,616
29	Texas Health Presbyterian Hospital Dallas Dallas, TX	$1,689 – $1,825
30	Parkland Memorial Hospital Dallas, TX	$1,774 – $7,173
31	NYU Langone Tisch Hospital New York, NY	$1,941 – $2,038
32	NewYork-Presbyterian / Columbia & Weill Cornell New York, NY	$1,941 – $2,232
33	NewYork-Presbyterian Queens Queens, NY	$1,941 – $2,232
34	Elmhurst Hospital Center Queens, NY	$2,117
35	Banner - University Medical Center Phoenix Phoenix, AZ	$3,200
36	Mount Sinai Hospital New York, NY	$4,021
37	Keck Hospital of USC Los Angeles, CA	$10,344 – $13,792
38	USC Norris Cancer Hospital Los Angeles, CA	$13,792

Estimate what you'd actually pay with Medicaid / Medi-Cal.

Add your deductible status and coinsurance to the comparison tool. We'll estimate your out-of-pocket per hospital.

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Medicaid / Medi-Cal plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicaid / Medi-Cal plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Ureteroscopy with lithotripsy (kidney stone) overview shows the cash-pay column alongside.